| Doctor Name: | MRS. LISA SLAUGHTER |
| NPI Number: | 1053630145 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.P.C. |
| License Number: | 63155 |
| Business Practice Address: | 221 E Davis St Mesquite, TX - 751494608 |
| Business Phone Number: | 2147297268 |
| Business Fax Number: | 9722161535 |
| Mailing Address: | 221 E Davis St, MESQUITE |
| State: | TX |
| Postal Code: | 751494608 |
| Phone Number: | 2147297268 |
| Fax Number: | 9722161535 |
| NPI Enumeration Date: | 05/27/2010 |
| NPI Last Update Date: | 05/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 63155 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |